Healthcare Provider Details

I. General information

NPI: 1457797458
Provider Name (Legal Business Name): LAUREN RACHAEL ARREDONDO CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2013
Last Update Date: 12/26/2024
Certification Date: 12/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1851 N MCKENZIE ST STE 101
FOLEY AL
36535-4703
US

IV. Provider business mailing address

1851 N MCKENZIE ST STE 101
FOLEY AL
36535-4703
US

V. Phone/Fax

Practice location:
  • Phone: 251-677-6821
  • Fax: 251-677-6813
Mailing address:
  • Phone: 251-435-1367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1-119351
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: